JASON WILLIAM LYDDANE

LEXINGTON, KY
NPI1942365614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KY  011082)
Enumeration Date2006-12-23
Last Update Date2007-07-08
Business Address
-- JASON WILLIAM LYDDANE RPh
1 SAINT JOSEPH DR
LEXINGTON, KY 40504-3742
Phone number: 859-313-1723
Mailing Address
-- JASON WILLIAM LYDDANE RPh
1 SAINT JOSEPH DR
LEXINGTON, KY 40504-3742
Phone number: 859-313-1723